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目的观察慢性肺源性心脏病并心力衰竭者经微量泵输注多巴胺及速尿治疗后的疗效,包括氧疗、抗感染、改善通气、纠正水电解质及酸碱失衡等,同时应用截量泵输注多巴胺80～80mg,速尿60～80mg加5%葡萄糖至50ml,1次/d,连用5～7天.观察治疗前后电解质、呼吸、心率、血压、水肿、肺部啰音、肝脏大小、尿量的变化.结果治疗后心率、血压、水电解质均有不同程度下降,但与治疗前比较,差异无统计学意义(P>0.05),24h尽量增加明显,水肿、肺部啰音、肝脏回缩亦有改善,与治疗前比较,差异无统计学意义(P<0.05).结论微量泵输注多巴胺及速尿治疗肺源性心病难治性心力衰竭疗效良好.
Objective To observe the curative effects of chronic pulmonary heart disease complicated with heart failure by micro-pump infusion of dopamine and furosemide, including oxygen therapy, anti-infection, ventilation improvement, water electrolyte correction, acid-base imbalance and so on. Infusion of dopamine 80 ~ 80mg, furosemide 60 ~ 80mg plus 5% glucose to 50ml, 1 / d, once every 5 to 7 days before and after treatment electrolyte, respiration, heart rate, blood pressure, edema, pulmonary rales, liver size , Urine volume changes.Results After treatment, heart rate, blood pressure, water and electrolyte were decreased to varying degrees, but compared with before treatment, the difference was not statistically significant (P> 0.05), 24h increase as obvious as possible, edema, pulmonary rales, There was no significant difference between the two groups (P <0.05) .Conclusion The therapeutic effect of micro pump infusion of dopamine and furosemide on refractory heart failure with pulmonary heart disease is good.